Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.52 / $1,172.76 / $4,408.39	Professional		$690.52	$1,172.76	$4,408.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,678.18 / $1,904.84 / $2,097.73	Professional		$1,678.18	$1,904.84	$2,097.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $1,237.17 / $2,239.77	Professional		$717.27	$1,237.17	$2,239.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,203.16 / $1,977.96 / $7,305.00	Facility		$1,203.16	$1,977.96	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $1,768.61 / $3,106.03	Professional		$877.00	$1,768.61	$3,106.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,168.64 / $1,744.15 / $2,281.23	Facility		$1,168.64	$1,744.15	$2,281.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,168.64 / $1,701.59 / $2,281.23	Professional		$1,168.64	$1,701.59	$2,281.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.94 / $1,278.86 / $1,543.79	Professional		$769.94	$1,278.86	$1,543.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.45 / $1,695.64 / $2,379.07	Professional		$840.45	$1,695.64	$2,379.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,232.40 / $1,560.00 / $1,835.30	Professional		$1,232.40	$1,560.00	$1,835.30